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Educational Interventions to Improve Atopic Dermatitis Outcomes for Children: A Systematic Review Tamarachiara Kuntjoro; Adeline Jaclyn; Myrna Adiwijaya
Berkala Ilmu Kesehatan Kulit dan Kelamin Vol. 32 No. 1 (2020): APRIL
Publisher : Faculty of Medicine, Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/bikk.V32.1.2020.7-16

Abstract

Background: Atopic dermatitis (AD) has a significant negative impact on the quality of life (QoL) of affected children and their families. Despite the availability of efficacious treatment, poor knowledge of AD treatment, and adherence to daily controller medications leads to a high rate of treatment failure. Purpose: To characterize the efficacy of educational interventions to improve AD outcomes in the pediatric population. Methods: A systematic search of PubMed, OVID Medline, CINAHL, and PsychINFO was conducted from September 2010 through September 2018. We compared populations, intervention characteristics, study designs, outcomes, settings, and intervention levels across studies. Result: Of 85 articles identified and reviewed, 7 articles met inclusion criteria. All included studies demonstrated efficacy in overall outcomes. All studies were performed in a hospital setting or utilized technology. The most common format for pediatric AD intervention delivery was the use of group lectures. Promising strategies to address time limitations in parents of children with AD include multifaceted educational support programs, individually tailored nurse consultation, and Web-Based Educational Programs. This systematic review is not a meta-analysis, therefore limiting its quantitative assessment of studies. Conclusion: Educational interventions demonstrate efficacy in improving pediatric AD outcomes. As the seven included studies employed a wide variety of outcome assessment tools, it is difficult to compare the extent of improvement in outcomes across these studies. In order to better assess the comparative efficacy of different educational interventions to improve outcomes in children with AD, it is essential to standardize outcome measures.
Kesesuaian Diagnosis Klinis dan Hasil Pemeriksaan Histopatologi Psoriasis Vulgaris Puguh Riyanto; Felicia Yora Afrilia Putri; Myrna Adiwijaya; Rima Adjani Nugroho; Hani Nur Rahmawati Purwanto
JURNAL RISET RUMPUN ILMU KEDOKTERAN Vol. 4 No. 1 (2025): April : Jurnal Riset Rumpun Ilmu Kedokteran
Publisher : Pusat riset dan Inovasi Nasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/jurrike.v4i1.4554

Abstract

Psoriasis is a chronic inflammatory disease that attacks the skin and can occur at any age with various clinical variations. The diagnosis is generally made clinically, but in atypical cases a biopsy is required for confirmation. The combination of clinical and histopathological examination provides more accurate diagnosis results. This study aims to assess the suitability of clinical diagnosis and histopathological examination results in psoriasis vulgaris in Semarang Regency. This cross-sectional observational study was conducted by the department of dermatology, venereology and aesthetics at Diponegoro University. A total of 10 samples were clinically diagnosed as psoriasis vulgaris or other morphological types of psoriasis vulgaris at a Dermatology Polyclinic in Semarang Regency, over a period of 2 years. The clinical manifestations of 10 cases with a clinical diagnosis of psoriasis vulgaris assessed from the typical predilection and the presence of scaly plaques tended to be consistent with the histopathological diagnosis but were not statistically significant. Concordance between clinical diagnosis and histopathological diagnosis was observed in 8 (80%) cases and discordance in 2 (20%) cases. Based on the research results, it can be concluded that there is a high level of agreement (80%) between clinical diagnosis and histopathological features in cases of psoriasis vulgaris.